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Branch Committee Elections 2015/2016
Nomination Form for Branch Honorary Officers & Committee
Branch Honorary Officer nominees must receive one nomination from another corporate member. Branch
Representative nominees must receive three nominations from other corporate members. All nominees must be
paid up corporate members of the institute (except Student Rep.). Committee member candidates can nominate
themselves.
I am seeking nomination as a candidate for (please tick all which apply):
Branch Honorary Officer roles: (Please tick)
�
Chair
�
Treasurer
�
Secretary
Advisory Council roles:
Committee Member
�
�
Branch Representative
(No nominator necessary)
Name of Nominee (Must be a paid-up corporate member): …………………………………………..
Address ……………………………………………………………………………………………………..
Telephone/Email …………………………………………………………………………………………..
Current membership of any other Professions ………………………………………………………
Specialism ………………………………….
Date of Birth: ……………………………
Signature of Member seeking nomination _________________________________________
Nominated By:
1. Name (Must be a paid-up corporate member): ……………………………………………………..
Address ……………………………………………………………………………………………………
Telephone/Email …………………………………………………………………………………………
Signature …………………………………………………………
(Only complete if supporting nomination for Branch Representative Role)
2. Name (Must be a paid-up corporate member): ……………………………………………………..
Address …………………………………………………………………………………………………….
Telephone/Email …………………………………………………………………………………………..
Signature …………………………………………………………
(Only complete if supporting nomination for Branch Representative Role)
3. Name (Must be a paid-up corporate member):
Address ……………………………………………………………………………………………………
Telephone/Email …………………………………………………………………………………………..
Signature ………………………………………………………..
Please post/email to LI Scotland at address below by noon on Wednesday 15th April.
Electronic signatures are acceptable.
Landscape Institute Scotland,
Dr Carol McKenzie LIS (Administrator) c/o Flat 4/2 9 Golspie Street GLASGOW G51 3EY Tel: 0141 445 2659 Tel: 07751 328415
E-mail: [email protected]
Registered Charity No. 1073396